RICKIE WAYNE PENNY - Dentist License in Illinois | # 019018911

RICKIE WAYNE PENNY

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018911

License Status

INACTIVE

Business

N

First Name

RICKIE WAYNE

Last Name

PENNY

Business Name

RICKIE WAYNE PENNY

Original Issue Date

11/03/1983

Effective Date

09/28/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/07/2018